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The initial trauma check is the fastest possible detection of life-threatening injuries, which are for further treatment and transport of patients is important. In principle, all possible regions of body to be examined; the scope of investigation is necessarily adapted to situation. It will be manually examined for signs of traumatic impact head, shoulder girdle, arms, hands, chest, abdomen, pelvis, legs and feet (gastric sleeve surgery in Mexico).
The following frequently used terms refer to parts medicine: Saving Medicine designates in particular the outside carried out by appropriate medical facilities (preclinical) Medicine. However, it is neither technically nor the content medicine at the facility - a hospital in rule - to separate. Disaster Medicine refers to aspect medicine, the individual medical aspects can occur in background for a major incident or disaster due to large number of people affected. The transitions are fluid.
The NeuroCheck is used to test the functioning of nervous system of a physically disabled person. This sensitivity can be (pain sensation), motor skills, strength and blood flow studied. Particular importance to this investigation for suspected spinal injury or non-oriented patients. The investigation includes: pupil (light sensitivity, etc.), sensitivity (eg pain response in extremities by pinching in both hands / legs.) (Hands and legs move), motor skills, muscle strength (handshake should be the same on both hands), blood flow (pressure on finger nail). For emergency medical diagnostics usually are instrumental possibilities available. However, the equipment may vary in individual cases from site to site.
Using ECG monitoring, the continuous representation of cardiac actions on a screen, a further differentiation, for example, chest pain in acute situation, the continuous monitoring of a patient including diagnosis emergency medical significant cardiac arrhythmias and by 12-lead ECG recording is possible. Pulse oximeter to measure the arterial blood oxygen saturation. Measuring the oxygen content in blood, the pulse oximetry is widely used as a further parameter for patient monitoring during transport or artificial respiration, wherein cardiopulmonary resuscitation for verification of sufficiency of measures and after administration of drug for detecting hypoxic conditions.
Capnometry, the continuous measurement of CO2 in exhaled air is used to optimize the ventilation in ventilation and also for the estimation of body metabolism in resuscitation treatment. Find Semi-quantitative measurement method, typically a test for blood sugar to detect hypo- or hyperglycaemia, troponin to detect cardiac involvement (z. B. Myocardial infarction, severe angina pectoris), and optionally on toxic active substances (as in cases of suspected drug, barbiturate poisoning) also use.
1908 was designated in Frankfurt on the first International Congress for emergency services medicine as a special science to appropriate training of doctors is required. In 1947 reported Beck et al. First reported the successful defibrillation of a 14-year-old boy. In second half of 50s began in Germany in many places, the concrete construction of a notation centered Rescue System and 1970, the ADAC is by far the first, occupied with emergency medical and paramedic EMS helicopter .
Typically manifest or impending shock states of different causes by suitable combinations of measures (puncture and catheterization techniques including conditioning central venous access) and drugs are treated (shock therapy). To ensure breathing are freeing the airway (foreign body removal - manually or by suction), the (endotracheal or supraglottic) intubation, cricothyroidotomy or tracheotomy as well as the manual and mechanical ventilation and possibly the chest tube necessary.
In case of injury, among other things, a proper immobilization and reduction of joint and bone injuries or the containment of blood loss by applying a pressure bandage to vascular surgical procedures are performed. Existing or foreseeable intolerable pain conditions require appropriate - and sedation (anesthesia).
The following frequently used terms refer to parts medicine: Saving Medicine designates in particular the outside carried out by appropriate medical facilities (preclinical) Medicine. However, it is neither technically nor the content medicine at the facility - a hospital in rule - to separate. Disaster Medicine refers to aspect medicine, the individual medical aspects can occur in background for a major incident or disaster due to large number of people affected. The transitions are fluid.
The NeuroCheck is used to test the functioning of nervous system of a physically disabled person. This sensitivity can be (pain sensation), motor skills, strength and blood flow studied. Particular importance to this investigation for suspected spinal injury or non-oriented patients. The investigation includes: pupil (light sensitivity, etc.), sensitivity (eg pain response in extremities by pinching in both hands / legs.) (Hands and legs move), motor skills, muscle strength (handshake should be the same on both hands), blood flow (pressure on finger nail). For emergency medical diagnostics usually are instrumental possibilities available. However, the equipment may vary in individual cases from site to site.
Using ECG monitoring, the continuous representation of cardiac actions on a screen, a further differentiation, for example, chest pain in acute situation, the continuous monitoring of a patient including diagnosis emergency medical significant cardiac arrhythmias and by 12-lead ECG recording is possible. Pulse oximeter to measure the arterial blood oxygen saturation. Measuring the oxygen content in blood, the pulse oximetry is widely used as a further parameter for patient monitoring during transport or artificial respiration, wherein cardiopulmonary resuscitation for verification of sufficiency of measures and after administration of drug for detecting hypoxic conditions.
Capnometry, the continuous measurement of CO2 in exhaled air is used to optimize the ventilation in ventilation and also for the estimation of body metabolism in resuscitation treatment. Find Semi-quantitative measurement method, typically a test for blood sugar to detect hypo- or hyperglycaemia, troponin to detect cardiac involvement (z. B. Myocardial infarction, severe angina pectoris), and optionally on toxic active substances (as in cases of suspected drug, barbiturate poisoning) also use.
1908 was designated in Frankfurt on the first International Congress for emergency services medicine as a special science to appropriate training of doctors is required. In 1947 reported Beck et al. First reported the successful defibrillation of a 14-year-old boy. In second half of 50s began in Germany in many places, the concrete construction of a notation centered Rescue System and 1970, the ADAC is by far the first, occupied with emergency medical and paramedic EMS helicopter .
Typically manifest or impending shock states of different causes by suitable combinations of measures (puncture and catheterization techniques including conditioning central venous access) and drugs are treated (shock therapy). To ensure breathing are freeing the airway (foreign body removal - manually or by suction), the (endotracheal or supraglottic) intubation, cricothyroidotomy or tracheotomy as well as the manual and mechanical ventilation and possibly the chest tube necessary.
In case of injury, among other things, a proper immobilization and reduction of joint and bone injuries or the containment of blood loss by applying a pressure bandage to vascular surgical procedures are performed. Existing or foreseeable intolerable pain conditions require appropriate - and sedation (anesthesia).
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